- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,018.50 / $93,778.30 / $190,532.00
| Facility | | $49,018.50 | $93,778.30 | $190,532.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143,344.76 / $143,344.76 / $152,301.15
| Facility | | $143,344.76 | $143,344.76 | $152,301.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $55,398.43 / $85,950.32
| Facility | | $7,500.00 | $55,398.43 | $85,950.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $54,480.98 / $152,301.15
| Facility | | $7,500.00 | $54,480.98 | $152,301.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,064.00 / $46,064.00 / $46,064.00
| Facility | | $46,064.00 | $46,064.00 | $46,064.00 |